Readers of my blog know my opinion – never! But regarding the question of a patient’s indicated procedure for a breast augmentation, the personal preference of the attending physician is of secondary importance. The best solution for the patient is what counts!
The breast augmentation with stem cells and/or autologous fat is the more natural procedure that allows for better cosmetic results and an entirely natural breast shape in every posture and with every movement. However, a larger amount of autologous fat is required for such a breast augmentation, which has to be taken from some other part of the body. Autologous fat is also constrained to certain limits, such as the volume of a breast augmentation per surgical procedure. In most cases from 1 to 1.5 cup sizes.
If a patient either desires a breast augmentation to achieve a significantly larger cup size or declines to have fat removed from the buttocks, hips or thighs, then a breast augmentation using silicone has to be recommended to her, simply due to the fact that a treatment using stem cells and/or autologous fat is just not the optimal treatment for her. The desire for an artificial-looking, rounded breast shape (like Victoria Beckham’s “old” silicone breasts) can naturally only be achieved using artificial implants.
What do I do if a patient is better served with silicone breasts that with naturally enlarged breasts? I convey to her the limits and disadvantages of a silicone treatment and transfer her, if necessary, to a colleague who frequently and consciously treats patients using silicone implants. For one should, in my opinion, only do those things that one can personally get behind and is convinced of in order to ensure that they are done well.
DDr. Heinrich, MD